Author Question: A nurse recognizes that although a patient speaks English, the patient is from a culture with which ... (Read 78 times)

neverstopbelieb · **on:** Jul 8, 2018

A nurse recognizes that although a patient speaks English, the patient is from a culture with which the nurse is unfamiliar. Therefore, a cultural assessment should be attempted. Which of the following questions should the nurse ask? (Select all that appl

a. Can you tell me where your family is from?
b. Do you practice a particular religious faith?
c. Have you ever been in an American hospital before?
d. Is there anything special we need to know about your food preferences?

Question 2

A 40-year-old Bosnian, Muslim woman who does not speak English presents to a community health center in obvious pain. She requests a female health care provider.

Through physical gestures, the woman indicates that the pain is originating in either the pelvic or genital region. Which of the following interpreters would be the most appropriate in this situation?
a. A Bosnian male who is certified as a medical interpreter
b. A female from the client's community
c. A female who does not know the client
d. The client's 20-year-old daughter

EAN94 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A, B
In a brief cultural assessment, nurses ask clients about their ethnic background, religious preference, family patterns, cultural values, language, education, politics and health practices. Nurses want to also ask about the client's perception of the health issue and what caused it and how it should be treated as well as the results they expect from the care they get. Such basic data help nurses understand the client from the client's point of view and recognize what is unique about the person, thus avoiding stereotyping.

Answer to Question 2

ANS: C
Although having experience in medical interpretation is important, in many cultures it is inappropriate to have a male interpreter for females. This client has specifically requested a female provider; therefore, one might anticipate that the client will not be as forthcoming with a male interpreter. Regardless of certification and ability, the interpreter cannot interpret information the client may withhold because she feels it inappropriate to discuss private matters in front of a male. This client may also feel it inappropriate to have private matters interpreted by her daughter (especially if they are of a sexual nature or if they involve infidelity). Additionally, to avoid a breach of confidentiality, the nurse should avoid using an interpreter from the same community as the client.